Abstract:
BACKGROUND:Community health workers (CHWs) are an essential cadre in the health systems of many low- and middle-income countries. These workers provide a wide variety of services and are key to ongoing processes of task shifting within human immunodeficiency virus programmes in particular. Ward-based outreach teams (WBOTs) are South Africa's latest iteration of the CHW programme and have been introduced as part of the National Department of Health's Primary Health Care Re-engineering programme. METHODS:In order to assess the perceived effectiveness of the WBOTs in supporting the ongoing rollout of antiretroviral therapy, tuberculosis care and patient support, we conducted a qualitative investigation focusing on the perceived successes and challenges of the programme among CHWs, community leaders, healthcare workers and community members in the Mopani district, Limpopo province, South Africa. RESULTS:The CHW programme operates across these contexts, each associated with its own set of challenges and opportunities. CONCLUSIONS:While these challenges may be interrelated, a contextual analysis provides a useful means of understanding the programme's implementation as part of ongoing decision-making processes.
journal_name
Int Healthjournal_title
International healthauthors
Jobson G,Naidoo N,Matlakala N,Marincowitz G,Railton J,McIntyre JA,Struthers HE,Peters RPHdoi
10.1093/inthealth/ihz082subject
Has Abstractpub_date
2020-07-01 00:00:00pages
281-286issue
4eissn
1876-3413issn
1876-3405pii
5613944journal_volume
12pub_type
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